社区居民大肠癌筛查结果分析  

An analysis of results of colorectal cancer screening in community residents

作　　者：齐瑞华 汪春良 王晓 许映 祝云峰 赵锦荣 QI Ruihua;WANGChunliang;WANG Xiao(Department of Anorectal Surgery, First People＇s Hospital of Fuyang District, Hangzhou 311499, CHINA)

机构地区：[1]杭州市富阳区第一人民医院肛肠外科,浙江311499

出　　处：《江苏医药》2018年第6期692-694,共3页Jiangsu Medical Journal

基　　金：杭州市富阳区科技局2015年社会发展科技计划项目(2015SK002)

摘　　要：目的总结社区人群大肠癌筛查结果。方法采用危险因素量化评估问卷调查联合粪便隐血试验(FOBT)对浙江省富阳地区社区居民2100例进行大肠癌筛查,筛选出阳性人群进一步行乙状结肠镜检查。结果 2100例中,共筛查出疑有结直肠病变者532例,阳性率为25.33%。对其中的447例行乙状结肠镜检查,筛查出直肠癌2例,乙状结肠癌1例,直肠息肉18例,乙状结肠息肉31例。男性乙状结肠息肉的发病率高于女性(P<0.01);≥70岁者乙状结肠息肉的发病率高于其他年龄组(P<0.05)。结论采用危险因素量化评估问卷调查联合FOBT可获得筛选出大肠癌阳性人群,进一步行乙状结肠镜检查可早期诊断和治疗大肠癌。Objective To analyze the results of colorectal cancer screening in community residents.Methods Using quantitative risk factor assessment questionnaire and fecal occult blood test（FOBT）,colorectal cancer screening was performed in community residents of Fuyang district of Zhejiang Province.Sigmoidoscopy was carried out in the people with suspected colorectal lesions.Results Of 2100 cases,532 cases（25.33%）with suspected colorectal lesions were screened out.Sigmoidoscopy was performed,of whom rectal cancer was found in 2 cases,sigmoid colon cancer in one case,rectal polyps in 18 cases and sigmoid polyps in 31 cases.The incidence rate of sigmoid polyps in male was higher than that in female（P〈0.01）.The incidence rate of sigmoid polyps was higher in the cases aged≥70 years old than that in other age groups（P〈0.05）.Conclusion The population with high risk for colorectal cancer can be screened out by quantitative assessment questionnaire combined with FOBT and colorectal cancer can be early diagnosed and treated when the people with high risk for colorectal cancer were examined timely by sigmoidoscopy.

关 键 词：大肠癌 乙状结肠镜 

分 类 号：R735[医药卫生—肿瘤]